Community Pediatric Asthma Service

Referral Form image

Clinical Referral Forms

As a healthcare professional, are you confused with where to send your patient to get help with their asthma in and around Calgary? We have gathered the referral options in our area, including the appropriate referral forms below.  If you are unable to find what you are looking for, or if you have a question, send us an email and we will help you get started.

Important Updates for our Referral Partners

Effective immediately, we will be conducting all our asthma education appointments by phone until further notice. Click here for more information.


  • Certified Respiratory Educators (CRE) provide spirometry interpreted by a pediatric respirologist, asthma education that includes device assessment, trigger identification and avoidance strategies, written Asthma Action Plan and referral to Asthma Specialty Clinic, if required
  • Fax:     (403) 776-3806 (NEW)              Phone: (403) 943-9139
  • Located at the Rockyview General Hospital 
  • Physician referral to respirologist for patients 16 years+
  • Send referral form with most recent PFT report
  • Fax:     (403) 592-4201          Phone: (403) 943-8864
  • Located at the Alberta Children's Hospital
  • Specialist assessment, pulmonary function testing interpreted by a pediatric respirologist, educator assessments - device, trigger identification/ environment assessment, Asthma Action Plan
  • May also include allergy testing for asthma environmental triggers, psycho/social factors impacting asthma control or challenges related to living with a chronic condition and nurse telephone advice/support
  • Fax:     (403) 776-3807 (NEW)         Phone: (403) 955-7328
  • Breathe Well Physio provides treatment and education for breathing pattern disorders
  • Fax/Phone:  (403) 587-355-3200
  • Patients 16 years+ for spirometry with asthma/COPD education, tobacco reduction, chronic cough
  • Fax:     (403) 283-3406        Phone: (403) 944-8742
  • Pharmacists can refer pediatric patients for asthma education by completing this form
  • Fax:     (403) 776-3806        Phone: (403) 943-9139
  • There are also a number of community pediatricians with an interest in asthma who accept acute asthma referrals in a timely fashion
  • Telephone advice line for primary care physicians between 8:00am – 8:00 pm, 7 days/week
  • Phone:  (403) 955-1098
  • Spirometry links for Pediatrics in the Community
  • PFT Lab at the Alberta Children's Hospital:  Pulmonary function testing 6+ years and pre-school testing 4-6 years (if developmentally appropriate), interpreted by a pediatric respirologist, but with no consultation
  • Methacholine challenge and exercise testing referrals must come from a respiratory specialty clinic
  • Fax:     (403) 403-592-5101         Phone: (403) 955-7875
  • Physicians can call the Alberta Children's Hospital switchboard at 403-955-7211 and ask to page the “pediatric respiratory physician on-call”
  • Phone:  403-955-7211

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Material on this website has been designed for information purposes only. It should not be used in place of medical advice, instruction and/or treatment. If you have specific questions, please consult your doctor or appropriate health care professional.